US - Glossary of Terms Flashcards
30 Day Hold
Period between filing an IND and FDA approval to proceed
120 day Safety Report
Amendment to NDA containing a safety update due after NDA is filed
180-day Exclusivity
Protects ANDA applicant from competition
351(k) Application
An abbreviated BLA for biological product demonstrated to be biosimilar
505(b)(2) Application
An application using investigations which were not performed by/approved for use by the applicant
Traditional 510(k)
Premarket submission demonstrating device safety
Special 510(k)
For device modifications (not affecting intended use or technology)
Abbreviated 510(k)
Demonstrates conformance with guidance documents
513 (g) Request for Info
Request for device classification
515 Program Initiative
Facilitates device reclassification action
522 Postmarket Surveillance Studies Program
Design, tracking, oversight and review responsibilities for medical device studies
AABB
American Association of Blood Banks
ACBTSA
Advisory Committee on Blood and Tissue Safety and Availability
Accelerated Approval
Allows earlier approval of drugs to treat serious diseases and those with an unmet medical need
Accredited Persons Program
Accredits third parties to conduct the primary 510(k) review for devices
ACE
Adverse Clinical Event
ACRP
Associate for Clinical Research Professionals
ACT
Applicable Clinical Trial
Action Letter
Letter that informs NDA or BLA sponsor of an agency decision (approvable, not approvable and clinical hold)
ADE
Adverse Drug Event (or Experience)
ADME
Absorption, Distribution, Metabolism and Excretion
ADR
Adverse Drug Reaction
AdvaMed
Advanced Medical Technology Association
Advisory Committee
Commitee used by FDA to obtain independent expert advise
AFDO
Association of Food and Drug Officials
AHRQ
Agency for Healthcare Research and Quality
AIA
America Invents Act (2011)
AIDC
Automatic Identification and Data Capture
AIP
Application Integrity Policy (regarding data reliability)
AMS
Agricultural Marketing Service
Analyte
In a clinical trial, the part of the sample the test is designated to find or measure
ANDA
Abbreviated New Drug Application (for generics)
Annual Report
Report that includes safety, efficacy, and labeling info, investigation summaries, CMC updates, and unpublished clinical trials
ANPR
Advance Notice of Proposed Rulemaking
APhA
American Pharmacists Association
APHIS
Animal and Plant Health Inspection Service
APLB
Advertising and Promotional Labeling branch (CBER)
AQL
Acceptable Quality Level
ASTM
American Society of Testing and Materials
ASR
Analyte Specific Reagent
AUT
Actual Use Trials
BA/BE Studies
Bioavailability / Bioequivalence studies
Bad Ad Program
program to ensure avertisers are truthful and not misleading (CDER’s - OPDP)
BCES
Blood Establishment Computer Software
BIMO
Bioresearch Monitoring Program
BIO
Biotechnology Industry Organization
BLA
Biologics License Application
BPCA
Best Pharmaceuticals for Children Act (2002)
BPCI Act
Biologics Price Competition and Innovation Act (2009)
BPDR
Biological Product Deviation Report
BsUFA
Biosimilar User Fee Act
CAP
Color Additive Petition
CBE-30
Changes being effected in 30 days (has potential to affect identity, strength, quality, purity, and potency adversely)
CBER
Center for Biologics Evaluation and Research
CBP
US Customs and Border Protection
CDER
Center for Drug Evaluation and Research
CDRH
Center for Devices and Radiological Health
CDx
Companion Diagnostic
CF
Consent Form (ICF, ICD)- info on risks and benefits (per Declaration of Helsinki)
CFG
Certificate to Foreign Government - to prove an exporting product can be legally marketed in the US
CFSAN
Center for Food Safety and Applied Nutrition
CH
Clinical Hold
CHIP
Children’s Healthcare Insurance Program
CHPA
Consumer Healthcare Products Association
CIOMS
Council for International Organizations of Medical Sciences
CIP
Clinical Investigation Plan
Class I Device
Low risk device class - requires controls to ensure safety and effectiveness
Class II Device
Medium risk device class - requires guidance docs, performance standards, postmarket surveillance
Class III Device
High risk device class- requires PMA. Life supporting, pose rise. Requires clinical trials
Clearance
Devices that receive marketing permission through the 510(k) process
CLIA
Clinical Laboratory Improvement Amendments (1988)
Clinical Hold
FDA order to delay proposed clinical investigation or suspend
Clinical Investigator
A medical researcher in charge of carrying out of a clinical trial protocol
CLSI
Clinical and Laboratory Standards Institute
CME
Continuing Medical Education
CMS
Centers for Medicare & Medicaid Services
COA
Clinical Outcomes Assessment- measures how patients feel or function
COE
Certificate of Exportability - issued by FDA to exporter
Common Rule
Requires IRB to ensure protocol is sufficient to protect a subject during the study
Consent Decree
Action carried out by DOJ. Correct cGMP violations by placing severe restrictions to ensure compliance
COOL
Country or Original Labeling
CPG
Compliance Policy Guide
CPGM
Compliance Program Guidance Manual
CPSC
Consumer Product Safety Commission
CRF
Case Report Form - data collected in a clinical trial
CR Letter
Complete Response letter - FDA dececision on NDA or ANDA
CSO
Consumer Safety Officer (Regulatory Project Manager)
CTD
Common Technical Document
CTP
Center for Tobacco Products
DARRTS
Document Archiving, Reporting and Regulatory Tracking System (CDER)
DBSQC
Division of Biological Standards and Quality Control (CBER)
DDT
Drug Development Tools
Declaration of Helsinki
Ethical principles for medical research on human subjects
Default Decree
A court order when a seized article is not claimed or defended
De Novo Process
Route to market for low-moderate risk devices in Class III
DESI
Drug Efficacy Study Implementation
DFUF
Device Facility User Fee
DHF
Design History File
DHR
Device History Record
DIA
Drug Information Association
DMC
Data Monitoring Committee
DMEPA
Division of Medication Error Prevention and Analysis (CDER)
DMPQ
Division of Manufacturing and Product Quality (CBER)
DMR
Device Master Record
DNCE
Division of Nonprescription Clinical Evaluation (CDER)
DNRD
Division of Nonprescription Regulation Development (CDER)
DRC
Direct Recall Classification Program (CBER)
DRISK
Division of Risk Management (CBER)
DRLS
Drug Registration and Listing System
Drug Competition Action Plan
Resolves regulatory obstacles during generic drug review
“Drug Facts” Label
Label for OTC drugs
DQSA
Drug Quality and Security Act (“Compounding Quality Act”)
DSHEA
Drug Supply Chain Security Act
DSNDCA
Dietary Supplement and Nonprescription Drug Consumer Protection Act
DTC
Direct to Consumer (advertising)
D-U-N-S
Data Universal Numbering System (9 digits by Dun & Bradstreet)
EA
Environmental Assessment
EAP
Expedited Access Pathway Program - voluntary for devices to address unmet medical needs
eBPDR
Electronic Biological Product Deviation Reports
EC
European Commission, European Community or Ethics Committee
ECO
Emergency Change Order
EFTA
European Free Trade Association
EIR
Establishment Inspection Report
ETASU
Elements to Ensure Safe Use
FAERS
FDA Adverse Event Reporting System
FALCPA
Food Allergen Labeling and Consumer Protection Act (2004)
FAP
Food Additive Petition
FAR
Field Alert Report
Fast Track
FDA program to facilitate development and NDA review process for treatment of life threatening conditions
FCA
False Claims Act
FCS
Food Contact Substance
FD&C Act
Federal Food, Drug and Cosmetic Act (1938)
FDAAA
Food and Drug Administration Amendments Act (1938)
FDA ESG
FDA Electronic Submissions Gateway
FDAMA
FDA Modernization Act (1997)
FDARA
FDA Reauthorization Act (2017)
FDSIA
FDA Safety and Innovation Act (2012)
FDLI
Food and Drug Law Institute
FIFRA
Federal Insecticide, Fungicide, and Rodenticide Act
FIH
First in Human study
FPI
Full Prescribing Information
FPLA
Fair Packaging and Labeling Act
FR
Federal Register
FSIS
Food Safety and Inspection Service
FSMA
Food Safety Modernization Act (2011)
FSMP
Food for Special Medical Purposes
FURLS
FDA Unified Registration and Listing System - medical device distributors
GAIN Act
Generating Antibiotic Incentives Now (2011)
GAO
Government Accountability Office
GARD
National Institute of Health Genetic and Rare Diseases
GE
Genetically Engineered
GO
Office of Global Regulatory Operations and Policy (CDER)
GPO
Government Printing Office and Group Purchasing Organization
GPR
General Purpose Reagents
“Grandfathered”
approval of drugs marketed prior to 1938 and devices before 1976
GRAS(E)
General Recognized as Safe (and Effective)
GPO
Group Purchasing Organization - hospitals formed to offer access to contracts for health supplies
GRP
Good Review Practice
GUIDID
Global Unique Device Identification Database
HAACP
Hazard Analysis and Critical Control Point
Hatch-Waxman Act
Drug Price Competition and Patent Restoration Act (1984)
HCEI
Healthcare Economic Information
HFAC
Health Care Fraud and Abuse Control program
HCT/P
Human Cells, Tissues and Cellular and Tissue-Based Products
HDE
Humanitarian Device Exemption
HeartNet
CDRH adverse event reporting - medical devices
HEAT
Health Car Fraud and Prevention Enforcement Action Team
HHS
Department of Health and Human Services
HIPPA
Health Insurance Portability and Accountability Act (1996) AKA “Privacy Rule”
HPCUS
Homeopathic Pharmacopeia Convention of the US
HPUS
Homeopathic Pharmacopeia of the US
HUD
Humanitarian Use Device
IB
Investigator’s Brochure
IC
Informed Coonset
ICA
Intercenter Agreement
ICCBBBA
International Council for Commonality in Blood Banking Automation
ICH
International Counsel on Harmonization of Technical Requirements for Registration of Pharmaceuticals for Human Use
ICSR
Individual Case Safety Report
IDE
Investigation Device Exemption
IDMC
Independent Data Monitoring Committee
IID
Inactive Ingredient Database
IMDRF
International Medical Device Regulators Forum
Immunogenicity
the ability of a substance to provoke an immune response
IND
Investigational New Drug
Informed Amendment
IND ends with “000” - indicating amendment number
INN
International Nonproprietary Names
Investigator IND
an IND submitted by in individual instead of a manufacturer
IOM
Investigations Operations Manual (or Institute of Medicine)
iPSP
Initial Pediatric Study Plan
IR Letter
a letter FDA sends to request clarification or additional info
ISAO
Information Sharing Analysis Organization
ISI
Important Safety Information
ISO
International Organization for Standardization
IUO
Investigational Use Only
IVD
In Vitro Diagnostic
LDT
Laboratory Developed Test - for diagnostic devices
LOA
Letter of Authorization
Lookback Procedure
screened used by blood banks for donors who originally tested negative but are now positive
Major Statement
advertisement of a prescription drugs most important risks (must be spoken)
MAF
Device Master File (same as DMF)
MAPP
Manual of Policies and Procedures (CDER)
MAUDE
Manufacturer and User Facility Device Experience database (CDRH) - device adverse events
MDR
Medical Device Reporting
MDSAP
Medical Device Single Audit Program (FDA) - substitute for routine inspections
MDUFA
Medical Device User Fee Amendments (2018)
MDUFMA
Medical Device User Fee Modernization Act (2002)
MedDRA
Medical Dictionary for Regulatory Activity - standardizing medical terminology
MedSun
Medical Product Safety Network - adverse event reporting (CDRH)
MedWatch
program for reporting adverse events
MMA
Medicare Prescription Drug, Improvement and Modernization Act (2003)
MOU
Memorandum of Understanding - agreement between FDA and another country for agreement on inspections
MRCT
Multi-Regional Clinical Trial
MTD
Maximum Tolerated Dose
NAI
No Action Indicated - (Most favorable FDA post-inspection classification)
NCE
New Chemical Entity
NCTR
National Center for Toxicological Research
NDA
New Drug Application
NDA Nubmber
6 digit number assigned to each new drug
NDA Field Alert
report filed within 3 working days on info regarding failures or contamination
NDC
National Drug Code (first 5 digits identify establishment, last 5 identify drug name, package size, and drug type)
NDIN
New Dietary Ingredient Notification
NIDPOE
Notice of Initiation of Disqualification Proceedings and Opportunity Explain letter
NLEA
Nutrition Labeling and Education Act (1990)
NLM
National Library of Medicine
NME
New Molecular Entity
NORD
National Organization for Rare Disorders
NOV
Notice of Violation letter
NSE
Not Substancially Equivalence - device not qualifying for 510(k)
NSR
Nonsignificant Risk
Nuremberg Code of 1947
Ethics for human experiments
OAI
Official Action Indicated - serious FDA post-inspection classication
OBRR
Office of Blood Research and Review (CBER)
OC
Office of the Commissioner (FDA)
OCBQ
Office of Compliance and Biologics Quality (CBER)
OCC
Office of the Chief Counsel (FDA)
OCE
Oncology Center of Excellence
OCET
Office of Counterterrorism and Emerging Threats (FDA)
OCI
Office of Criminal Investigation (FDA)
OCP
Office of Combination Products (FDA)
OCTGT
Office of Cellular, Tissue and Gene Therapies (CBER)
ODA
Orphan Drug Act of 1983
ODE
Office of Device Evaluation (FDA)
OECD
Organization for Economic Cooperation and Development
OFM
Office of Financial Management (FDA)
OGD
Office of Generic Drugs Products (CDER)
OIG
Office of the Inspector General (FDA)
OIP
Office of International Programs (FDA)
OIR
Office of In vitro Diagnostics and Radiological Health
OIRA
Office of Information and Regulatory Affairs (OMB)
OMEPRM
Office of Medication Error Prevention and Risk Management (CDER)
OND
Office of New Drugs (CDER)
ONDQA
Office of New Drug Quality Assessment (CDER)
ONPLDS
Office of Nutritional Products, Labeling and Dietary Supplements (CFSAN)
OOPD
Office of Orphan Products Development (FDA)
OPA
Office of Public Affairs (FDA)
OPDP
Office of Prescription Drug Promotion (CDER)
Open Label Study
clinical trial in which subjects and investigators are aware of the treatment received
OPQ
Office of Pharmaceutical Quality (CDER)
ORA
Office of Regulatory Affairs (FDA) - oversees field organization
Orange Book
FDA published listing of all generic drugs
Orphan Drug
treats disease affecting less than 200k ppl in US or more than 200k but no recovery of expenses from development
OSB
Office of Surveillance and Biometrics (CDRH)
OSI
Office of Scientific Integrity (FDA)
OTAT
Office of Tissues and Advanced Therapies (CBER)
OTC Monograph
rules for a number of OTC drug categories
OVRR
Office of Vaccine Research and Review (CBER)
PADER
Periodic Adverse Drug Experiences Report
PAI
Preapproval Inspection
PAS
Prior Approval Supplement or Postapproval Study
PAT
Process Analytical Technology
PBRER
Periodic Benefit-Risk Evaluation reports
PCM
Payment Confirmation Number
PD
Pharmacodynamics - study of reactions between drugs and living structures
PDA
Parenteral Drug Association
PDMA
Prescription Drug Marketing Act (1987)
PDP
Product Development Protocol
PDUFA
Prescription Drug User Fee Act (1992)
Pediatric Rule
Requires manufacturers to assess safety and effectiveness of certain drugs in pediatric patients
PEPFAR
Presidents Emergency Plan for AIDS Relief
PGx
Pharmacogenomics - study of DNA and RNA variations to drug response
Pharmacoviligance
Adverse event monitoring and reporting
phRMA
Pharmaceutical Research and Manufacturers of America
Phase I
first study in humans (few as 10 ppl) usually open-label study. Includes PK, ADME and dose escalation studies
Phase II
clinical trials of 100-300 who have condition of interest. Includes PK, dose ranging, safety and efficacy
Phase III
clinical trial of (100s-1000s) safety & efficacy
Phase IV
Postmarket clinical trials performed to support labeling and advertising or fulfill FDA safety requires notes at the time for NDA approval
PHI
Protected Health Information
PHS
Public Health Service
PI
Package Insert or Principal Investigator
PK
Pharmacokinetics - study of chemicals and medicines ADME processes
PLR
Physician Labeling Rule
PMA
Premarket Approval - marketing application required for Class III devices
PMC
Postmarketing Commitment - studies a sponsor has agree to conduct but not required by a statute or regulation
PMDSIA
Pediatric Medical Device Safety and Improvement Act (2007)
PMN
Premarket Notification aka “510(k)”
PMOA
Primary Mode of Action
PMR
Postmarketing Requirments - studies sponsors are required to conduct under a law or regulation
PMS
Postmarketing Surveillance - monitoring of approved products safety (phase IV studies and AE reporting)
PPA
Poison Prevention Act
PPACA
Patient Protection and Affordable Care Act (2010)
PPI
Patient Package Insert
PPSR
Proposed Pediatric Study Request
PREA
Pediatric Research Equity Act (2003)
Preclinical Studies
Animal PK and toxicity studies (GLP)
Pre-Sub Meeting
meeting for applicant to get FDA feedback prior to intended submission of an IDE or device marketing application
Priority Review
drugs appearing to represent an advance over available therapy (NDAs and BLAs review faster than standard applications)
PRO
Patient Reported Outcome
Protocol
document describing a clinical trials objectives, design, and methods
PTC
Points to Consider guidance (CBER)
PTCC
Pharmacology/Toxicology Coordinating Committee (CDER)
PTE
Patent Term Extension
PTO
Patent and Trademark Office
Purple Book
published list of biological products (licensed by FDA under the PHS Act)
QbR
Question-based Review (CDER) - CMC evaluation of ANDAs - ensuring generic drug quality
QIDP
Qualified Infection Disease Product
QoL
Quality of Life
QSIT
Quality System Inspection Technique
Q-Submission Program
provides submitters opportunity to discuss device submissions
QSR
Quality System Regulation (21 CFR 820) - GMPs for devices
Qualified Health Claim
food labeling health claim supported by scientific evidence
RCDAD
Relevant Communicable Disease Agents and Diseases
RCT
Randomized Clinical Trial
Class I Recall
recall where device would cause serious adverse health consequences
Class II Recall
recall where device may cause temporary health consequences
Class III Recall
recall where device is not likely to cause adverse health consequences
Reference Product
biological product license under PHS Act section 351(a) against which a product is evaluated in 351(k)
REMS
Risk Evaluation and Mitigation Strategies
RFA
Request for Application
RFD
Request for Designation - from Office of Combination Products (OCP)
RFR
Request for Reconsideration (OCP)
RFR
Reportable Food Registry - foods suspected of causing serious adverse health consequences
RLD
Reference Listed Drug
RMAT
Regenerative Medicine Advanced Therapy Designation (Same as fast track and Breakthrough)
Rolling NDA Submission
allows for filing of completed portions of NDA. Only permitted for Fast Track designation
RPM
Regulatory Procedures Manual
RTA Policy
Refuse to Accept - FDA checklist to ensure 510(k) or PMA is administratively complete
RTF
Refusal to File - letter sent by FDA when an incomplete NDA or ANDA is filed. (sent within 60 days)
RUO
Research Use Only
SAHCODHA
Severe Adverse Health Consequence or Death in Humans or Animals
SBA
Summary Basis of Approval
SC
Study Coordinator
SDQA
Safe Drinking Water Act
Se
Substantially Equivalent
SECG
Small Entity Compliance Guide
Sentinel Initiative
FDA program to track reports of adverse events
SGE
Special Government Employee
SMDA
Safe Medical Devices Act (1990)
SoCRA
Society of Clinical Research Associates
SPA
Special Protocol Assessment
SPL
Structured Product Label
SR
Significant Risk (device)
SSED
Summary of Safety and Effectiveness Data (used to approve or deny the PMA)
SST
Safety Signal Tracking
Standard Review
FDA review for drug with therapeutic qualities similar to those already approved for marketing
Subpart E
21 CFR 312 - Accelerated review for life threatening and severely debilitating illness
Subpart H
21 CFR 314.500 - approval based on a surrogate endpoint or approved with restrictions and or phase IV trials
Substantial Equivalence
Comparison of a new device to a marketed device (safe and effective as another 510(k)-cleared device)
Suitability Petition
a request to FDA to submit an ANDA for a drug varying from a Reference Listed Drug
SUPAC
Scale Up and Post-Approval Changes
SUPPORT Act
Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities
TPP
Target Product Profile
TEA
Time and Extent Application
NSE
Not Substancially Equivalence - device not qualifying for 510(k)
THOMAS
Public federal legislation database (Library of Congre
NSE
Not Substancially Equivalence - device not qualifying for 510(k)
TK
Toxicokinetics
TOPRA
The Organization for Professionals in Regulatory Affairs
TPLC
Total Product Lifecycle
tIND
allows limited use of an unapproved drug for patients with serious/life-threatening disease
TRO
Temporary Restraining Order - stops distribution of a product
TSCA
Toxic Substances Control Act
TTB
Alcohol and Tobacco Tax and Trade Bureau
UADE
Unexpected Adverse Device Effect
UDI
Unique Device Identification
Umbrella Policy
after a drug is eligable for 5-year NCE exclusivity, certain drug products subsequently developed also benefit form the original products exclusivity
USAN
US Adopted Name
User Fees
established by PDUFA
VAERS
Vaccine Adverse Event Reporting System
VAI
Voluntary Action Indicated - moderately serious FDA posit-inspection classification
NSE
Not Substancially Equivalence - device not qualifying for 510(k)
STRA
VSTA
Virus-Serum-Toxin Act
Warning Letter
a FDA violation letter. requires action within 15 years
NSE
Not Substancially Equivalence - device not qualifying for 510(k)
WR
Written Request - isued by FDA to allow companies to conduct pediatric studies under 505A of the FD&C Act